Active NPI
Cleburne Digestive Health PLLC
- Gastroenterology Physician
- Cleburne, TX
National Provider Identifier
1447405535
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- Legal business name
- CLEBURNE DIGESTIVE HEALTH PLLC
- Practice address
- 1701 Walter Holiday Dr Ste 200
Cleburne, TX 76033-1189 - Phone
- (817) 760-0234
- Fax
- (817) 641-3355
- NPI assigned
- Nov 17, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Yevgeniy Ostrinsky
- Title
- President
- Phone
- (817) 760-0938
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | Primary |
Addresses
Primary practice location
1701 Walter Holiday Dr Ste 200
Cleburne, TX 76033-1189
Mailing address
1701 Walter Holiday Dr Ste 200
Cleburne, TX 76033-1189
Phone (817) 760-0234
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
1701 Walter Holliday Dr
Ste 200
Cleburne, TX 76033
Phone (817) 205-3075
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/IHAHAA
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Gastroenterology Physician
- Cleburne, TX
- NPI 1790998771
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1226880000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1542412800000",
"number": "1447405535",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1701 WALTER HOLIDAY DR STE 200",
"city": "CLEBURNE",
"state": "TX",
"postal_code": "760331189",
"telephone_number": "817-760-0234",
"fax_number": "817-641-3355"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1701 WALTER HOLIDAY DR STE 200",
"city": "CLEBURNE",
"state": "TX",
"postal_code": "760331189",
"telephone_number": "817-760-0234",
"fax_number": "817-641-3355"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CLEBURNE DIGESTIVE HEALTH PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2008-11-17",
"last_updated": "2018-11-17",
"status": "A",
"authorized_official_last_name": "OSTRINSKY",
"authorized_official_first_name": "YEVGENIY",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "817-760-0938"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Gastroenterology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cleburne, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.